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Even though tears generally don't heal on their own, surgery can be avoided, states OrthoInfo. The purpose of nonsurgical methods is to reduce pain and increase strength in the shoulder. For those who live active, athletic lifestyles, surgery is recommended to restore as much movement as possible. Surgery is also recommended for patients who have persistent pain or weakness in their shoulders after nonsurgical treatments. Rehabilitation plays a critical role in healing, regardless of the treatment method.